# SHORE HEALTH SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverside Shore Diabetes Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811219751
- **Authorized official:** JOSEPH ZAGER (ADMINISTRATOR/VP)
- **Authorized official phone:** (757) 414-8765

## Contact information

- **Practice address:** 9507 HOSPITAL AVE, NASSAWADOX, VA 23413-0017
- **Practice address phone:** (757) 414-8054
- **Mailing address:** PO BOX 706, NASSAWADOX, VA 23413-0706
- **Mailing address phone:** (757) 414-8054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2010
- **Last updated:** 02/19/2010